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Classroom Emergency Person Accountability Form (for faculty use) Form Given To: Name: Time: Faculty Member Name: Building Name, Classroom or Lab Room Number and Course Name Date: Student Names (List
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How to fill out disasteremergency person accountability form

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Who needs a disaster/emergency person accountability form?

Employers or managers:

01
Any organization or business that employs individuals and wants to ensure their safety during a disaster or emergency situation.
02
Entities responsible for the well-being of their employees, such as government agencies, educational institutions, hospitals, etc.

Emergency response teams:

First responders, including firefighters, paramedics, police officers, and other emergency personnel who need to keep track of their team members' locations and status during an incident.

Community organizations:

01
Non-profit organizations, community groups, or neighborhood associations that organize disaster preparedness and response efforts.
02
Groups that conduct large-scale events or gatherings where accountability of participants is crucial in case of an emergency.

How to fill out a disaster/emergency person accountability form:

Begin by entering the date and time of the form's completion. This provides a reference point for when the form is being filled out.

Provide your personal information:

01
Full name: Enter your first and last name as accurately as possible to ensure proper identification.
02
Contact information: Include your phone number, email address, and any alternative contact details that may be necessary for communication during an emergency.

Specify your role or position:

01
Indicate your job title or role within the organization or incident response team.
02
If applicable, specify any specific responsibilities or training you have related to emergency procedures.

Emergency contact information:

Provide the names and contact details (phone numbers, addresses, etc.) of individuals who should be contacted in case of an emergency or when you cannot be reached directly.

Medical considerations:

01
If you have any specific medical conditions or allergies that emergency responders should be aware of, include this information.
02
Note any required medications or medical devices that may be needed during an emergency.

Available resources:

Indicate any personal or organizational resources that you can contribute during an emergency, such as vehicles, medical training, equipment, or specialized skills.

Next of kin or designated contact:

01
Provide the name and contact information of a person who should be notified if anything happens to you during an emergency.
02
This person should have a close relationship with you and be able to make decisions on your behalf if necessary.

Sign and date the form:

01
Once you have filled out all the necessary information, sign and date the form to confirm its accuracy.
02
By signing the form, you acknowledge that the information you provided is true and complete to the best of your knowledge.
Remember to review and update your disaster/emergency person accountability form regularly to ensure that the information remains current and accurate.
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Disaster/emergency person accountability form is a document used to track and account for individuals during a disaster or emergency situation.
All individuals designated as disaster/emergency personnel are required to file the accountability form.
The form can be filled out by providing personal information, contact details, emergency contact information, and availability during emergencies.
The purpose of the form is to ensure that all designated personnel can be contacted and accounted for during a disaster or emergency, enhancing response and coordination efforts.
Information such as name, position, contact information, availability during emergencies, and emergency contact details must be reported on the form.
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